Life -saving and medical research projects all over the world closed in response to 90 days to stop the Trump administration on external first aid orders and stoppage orders.
Dr. Jimmy Obigo, director of the program, said that the National Malaria Control Program has suspended spraying pesticides in the village homes and stopped shipments from bed networks for distribution to pregnant women and young children.
Medical supplies, including medications to stop bleeding in pregnant women and the arrival salts that treat the life -threatening diarrhea in young children, cannot reach villages in Zambia because the truck transport companies that they transport were paid through a suspended supply project for the United States Agency for International Development , USAID
Dozens of clinical trials were suspended in South Asia, Africa and Latin America. Thousands of people registered in studies have drugs, vaccines and medical devices in their bodies, but they no longer have access to continuous treatment or researchers who were overseeing their care.
In interviews, more than 20 researchers and program managers described the disturbance in health systems in countries all over the developing world. Most of them agreed to conduct interviews with them, provided that their names are not published, for fear that the talk will speak to a reporter at risk, that is, the possibility that their projects are able to reopen them.
Many of those who were interviewed collapsed in crying as they described the rapid destruction of decades of work.
Programs that have been frozen or folded over the past six days have supported the attention of the front lines of infectious diseases, and to provide preventive treatments and measures that help avoid millions of deaths from AIDS, tuberculosis, malaria and other diseases. They also presented a generous sympathetic image of the United States in the countries where China has increased in order to influence.
The US Department of State and the International Development Agency did not respond to suspension requests.
There will now be no one to embrace the supply of millions of dollars in biological oxygen systems, which have been purchased for the programs funded by the United States Agency for International Development that support health clinics in some of the poorest countries in the world. The shipments, which are now going to cross, are scheduled to reach the ports in the coming days, but the employees of these programs have been requested to stop working.
On Tuesday night, Foreign Minister Marco Rubio issued an exemption to freeze funding for “life -saving humanitarian assistance”, including what is called the Ministry of Foreign Affairs note “the basic medicine to save life”. However, HIV and tuberculosis programs have been informed by their contacts at the United States Agency for International Development that they cannot resume work until they receive written instructions that the waiver applies to them specifically.
Few managed to get an illustration on whether their work could continue and when their contacts can be launched at the United States Agency for International Development or either a hypothesis, or are subject to strict instructions not to speak to anyone.
Thousands of people have already lost their functions as a result of freezing. About 500 employees were launched in the United States of America. In countries from India to Zimbabwe, employees have been launched immediately. An organization called the International Center for Diars Research, Bangladesh, which is searching for the supreme children’s killer, has resulted in more than 1,000 employees this week.
If the assignment announced by Mr. Rubio does not apply to their work – as is the case because it is expected to exempt only a narrow range of activities – many non -profit groups will not have enough money to pay their employees or keep supplies. Indeed, organizations that rely on the US Agency for International Development have not even been able to reach any money, to pay the expenses they already incurred.
Two -thirds of the Malaria President’s initiative, an organization founded by former President George W. Bush, is the largest donor of Malaria’s programs and research worldwide. These employees were employees of the contract, because the agency had a long -standing employment for a freezing for permanent jobs, and included some of the largest respected scientists and respect working in malaria control in the world.
While the HIV treatment has led to detention, the suspension of malaria work immediately offers his life, a scientist who was a great employee in the President of the Malaria initiative for a decade and was dismissed on Tuesday.
Malaria interventions in Africa are carefully planned around rainy seasons, which vary time depending on the region. Homes are sprayed with pesticides, and children are treated with anti -malaria during the peak malaria transmission times.
The scientist said: “You can open the financing gates again tomorrow and you will still have children who die months from now because of this stop.”
More than 50 million children received preventive drugs before the rainy season last year.
Delivery of fast tests and malaria to Myanmar, where malaria cases It increased nearly ten times To 850,000 in 2023 (the latest available numbers) from 78,000 in 2019, it was frozen. Some organizations do not now have workers who left to distribute supplies even if they arrive.
In some parts of the country, More than 40 percent Cases are a type of malaria that are often fatal in children under the age of five. Malaria seems to qualify under the condition of “life -saving humanitarian assistance, including the basic drugs” listed in the waiver, but in the absence of certainty, no one was bold enough to try to liberate the drugs that they are now holding on the Thai border.
About 2.4 million windows of Malaria are sitting in Asia production facilities, and they have been manufactured to fulfill orders funded by the United States and linked to countries across sub -Saharan Africa. These contracts have now been frozen, because the sub -contractor of the United States Agency for International Development I bought is not allowed to speak to the manufacturer under the freezing conditions. An executive official with the manufacturer said other eight million nets in birds.
The largest USAID project is called global health supply chain, an attempt to simplify the purchase of HIV, malaria, mother health and other major areas, to make the system more efficient and save money. They operate in more than 55 countries where, in many cases, it provides the largest part of the main drugs. The global employee network has now been requested to stop work except for basic tasks, such as guarding goods in warehouses.
In Zambia, the American Agency for International Development supports wholesale distribution of public health products, using the private truck transport industry to transport medicines from the central wound to seven regional centers, from which it is taken by truck, motorcycles and boats to rural health centers. It is part of the widespread American support for the health system in Zambia, one of the poorest countries in the world, and over time it works to build the power of the government supply chain.
Since the release of the stopping order last Saturday, all vehicles that transport health products have been stopped. One of the advisers who worked with the program said: “They effectively actively in the Zambian public health sector by suddenly withdrawing,” said one of the advisers who worked with the program. Similar systems funded by the United States, which are now frozen, have transferred a large share of basic medical supplies in Mozambique, Nigeria, Malawi and Haiti.
In East Africa, medical researchers working on projects to find ways to stop the transmission of HIV and develop the most effective contraceptive themselves themselves were floundering in interpretations to provide them with participants in their clinical experiences.
“We have women testing vaginal rings, and they already have rings, and people who got an injection to prevent HIV – when you say” stop, “what happens to them?” Human HIV researcher said he is investigating a number of clinical experiences. “We have a moral commitment to people who volunteer in trials.”
Apoorva Mandavilli The reports contributed.